Organization
ADEAN KINGSTON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEAN AUDACE KINGSTON MD (OWNER)
(214) 420-3376
Entity
Organization
Contact information
Practice address
4514 COLE AVE, SUITE 910, DALLAS, TX 75205-5412
(214) 420-3376
(214) 420-3630
Mailing address
4514 COLE AVE, SUITE 910, DALLAS, TX 75205-5412
(214) 420-3376
(214) 420-3630
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N0170
TX
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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